SHAWN P MC EWAN PA
Controlled Substance Registration for Practitioner


Address: 10 Stephen Ln, Westfield, MA 01085-2014

SHAWN P MC EWAN PA (Credential# 190421) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

SHAWN P MC EWAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026533. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 10 Stephen Ln, Westfield, MA 01085-2014. The current status is inactive.

Basic Information

Licensee Name SHAWN P MC EWAN PA
Credential ID 190421
Credential Number CSP.0026533
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Stephen Ln
Westfield
MA 01085-2014
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2011-02-07

Other licenses

ID Credential Code Credential Type Issue Term Status
742447 23.000698 Physician Assistant 1998-01-02 2009-10-01 - 2010-09-30 INACTIVE

Office Location

Street Address 10 STEPHEN LN
City WESTFIELD
State MA
Zip Code 01085-2014

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Competitor

Search similar business entities

City WESTFIELD
Zip Code 01085
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTFIELD

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Shawn Russell Md 28 Lincoln Dr, New Canaan, CT 06840 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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